ANALYSIS OF TRACHEOBRONCHIAL FOREIGN BODIES WITH RESPECT TO SEX, AGE, TYPE AND PRESENTATION
Abstract
Background: Foreign body inhalation is one of the life threatening emergencies. It may happen atany age, however, most of these accidents occur in children especially below the age of five.Methods : This prospective study was done at Department of Otolaryngology, Head and NeckSurgery, Ayub Teaching Hospital, Abbottabad, from 1 January 2003 to 30 June 2005. A total ofEighty one patients, referred from the casualty and Paediatric unit with suspicion oftracheobronchial foreign body were included in the study. Results: Eighty one were studied. Fifty(61.7%) were male and thirty one (38.3%) were female. Sixty three (77.8%) were below fiveyears, thirteen (16%) were between five and fifteen years and five (6.2% ) were above fifteenyears. Sixty seven patients (82.7% ), presented mainly with chocking, while fifty nine patients(72.8%) had stridor and forty five patients (55.6%) had cough at initial presentation. Seventy two(88.9%) patients had decreased air entry and forty two (51.9%) had wheeze on auscultation,whereas cyanosis was noticed in five (6.2%) patients. Peanut was the commonest foreign bdy,retrieved in forty five patients (55.6%). Other foreign bodies were whistle (18.5%), maize seed(13.6%), bean seed (6.2 %), nuts (2.5%), sewing needle with thread, dice and denture (1.2%)each. Conclusions: Foreign body inhalation is more common in male patients, mostly below fiveyears of age. Chocking is the commonest symptom and decreased air entry on auscultation is thetypical examination finding. Peanut has been found to be the commonest type of foreign body.Key words: Tracheobronchial, Foreign body, Peanut.References
Mu L, He P, Sun D. Inhalations of foreign bodies in Chinese
children: a review of 400 cases. Laryngoscope. 1991; 101:
-60.
Steen KH, Zimmermann T. Tracheobronchial aspiration of
foreign bodies in children: a study of 94 cases. Laryngoscope
; 100(5):525-30.
Ghani R, Akhtar S, Gillani SMA, Nabi G. Management of
Tracheobronchial foreign bodies in children. J Ayub Med
Coll 1998;10(2): 30-3.
Swanson KL, Prakash UB, Midthun DE, Edell ES, Utz JP,
McDougall JC et al.. Flexible bronchoscopic management of
airway foreign bodies in children. Chest . 2002;121(5): 1695-
Tariq P. Foreign body aspiration in children - a persistent
problem. J Pak Med Assoc 1999; 49 (2):33-6.
Yeh LC, Li HY, Huang TS. Foreign bodies in
tracheobronchial tree in children: a review of cases over a
twenty- year period. Changgeng Yi Xue Za Zhi. 1998;21(1):
-9.
Zerella JT, Dimler M, McGill LC, Pippus KJ. Foreign body
aspiration in children: value of radiography and
complications of bronchoscopy. J Pediatr Surg. 1998;
(11):1651-4
Black RE, Johnson DG, Matlak ME. Bronchoscopic removal
of aspirated foreign bodies in children. J Padiatr Surg 1994;
(5):682-4.
Burton EM, Brick WG, Hall JD, Riggs W, Houston CS.
Tracheobronchial foreign body aspiration in children. South
Med J 1996;89(2):195-8.
Rashid D, Ahmad B, Muhammad S, Hydri AS, Anwar K.
Foreign Body: Tracheobronchial tree. Pak Armed Forces
Med J 1999; 49(2): 114-6.
Farooqi T, Hussain M, Pasha HK, Bokhari K, Hassan S.
Foreign body aspiration in children: An experience at Nishtar
Hospital Multan. Pakistan J Paed Surg. 1999; 1-2:16-24.
Khan NU, Nabi IU, Yousaf S, Akhtar SM. Foreign bodies in
the Larynx and Tracheobronchial tree. .Pak Armed Forces
Med J. 2000; 50(2): 68-70.
Schmidt H, Manegold BC. Foreign body aspiration in
children. Surge Endosc. 2000;14(7):644-8.
Downloads
Published
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.